CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne
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Multicenter Study
Risk of Clostridium difficile diarrhea among hospital inpatients prescribed proton pump inhibitors: cohort and case-control studies.
Antibiotic disruption of the normal intestinal flora is a well-known risk factor for Clostridium difficile-associated diarrhea. Reduced gastric acidity has been suggested as a risk factor, and we hypothesized that proton pump inhibitors, because of their potency, may be an independent risk factor for this problem. ⋯ Patients in hospital who received proton pump inhibitors were at increased risk of C. difficile diarrhea.
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Comparative Study
Lack of insurance coverage for testing supplies is associated with poorer glycemic control in patients with type 2 diabetes.
Public insurance for testing supplies for self-monitoring of blood glucose is highly variable across Canada. We sought to determine if insured patients were more likely than uninsured patients to use self-monitoring and whether they had better glycemic control. ⋯ Patients without insurance for self-monitoring test strips had poorer glycemic control.